Thank you for your inquiry regarding CMS0145v14 (Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care). The measure’s intent is to capture communication from the ophthalmologist or eye care specialist, who is performing the dilated macular or fundus exam, to the physician managing the patient’s ongoing diabetes care. While this is not stated explicitly in the numerator definitions, it is described in the measure narrative, including the Rationale (“Communication from the eye care specialist to a primary care physician…”) and Clinical Recommendation Statement (“The ophthalmologist should refer patients with diabetes to a primary care physician or endocrinologist for appropriate management of their systemic condition and should communicate examination results to the physician managing the patient’s ongoing diabetes care”).